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13205 Reams Road, Unit 152, Windmere, FL 34756-9543 | |
(407) 258-3222 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 13205 Reams Road, Windmere, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1366112401 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Carina L Forehand |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1316371248 PECOS PAC ID: 7810268901 Enrollment ID: I20170808002589 |
Provider Name | Raymond Forehand |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1437581196 PECOS PAC ID: 3476824590 Enrollment ID: I20170809000072 |
Mailing Address | Practice Location Address |
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13205 Reams Rd Unit 152, Windermere, FL 34786-9543 Ph: (407) 258-3222 | 13205 Reams Road, Unit 152, Windmere, FL 34756-9543 Ph: (407) 258-3222 |